Provider Information for 1235720368
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LISA WILLIAMS MA, LMFT
Sex: Female
NPI: 1235720368
Last Updated: 2023-09-12
Certification Date: 2023-09-12
Certification Date: 2023-09-12
Details
Name | Value | ||||||||||||
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NPI | 1235720368 | ||||||||||||
Enumeration Date | 2021-02-01 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 406 SUNRISE AVE STE 300 ROSEVILLE, CA 95661-4106 United States Phone: 916-783-5207 | Fax: | ||||||||||||
Primary Practice Address | 406 SUNRISE AVE STE 300 ROSEVILLE, CA 95661-4106 United States Phone: 916-783-5207 | Fax: | ||||||||||||
Secondary Practice Address(es) | 8401 JACKSON RD | ||||||||||||
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